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Depression: Epidemic of Depression Thank You Professor Sampath for discussing the burning issue of 21st century, depression. The article is clinical in content and scientific. Major stress is given on ‘change’ which is constant but difficult to cope up the change if it is frequent. VUCA is now a part of life in 21st century across geography, race, ethnicity, age, gender. The Kubler-Ross’ model nicely describes five stages of coping or adjustment; the 5 stages are Denial, Anger, Bargaining, Depression and Acceptance. The model is useful in nature to understand the changes in internal behaviour to external changes. Depression is a depiction of individual’s incapability to deal with changes. Views: There are a number of under-examined fault lines running through the medical literature on depression, and current clinical practice. This chiefly stems from a too exclusively biomedical focus, neglecting the social construction of the human mind. For a start, the term `depression' tends to be used without qualification, as if it was settled that we were always referring to a free-standing biologically-based disorder. There is also an important international dimension. `Depression' is said to contribute 12% of the total burden of nonfatal global disease. The World Health Organization describes it as an epidemic that within two decades will be second only to cardiovascular disease in terms of global disease burden. Many people are prescribed antidepressant drugs having many side effects without clear diagnosis of depression. Depression is a disease in which changes takes place at neurotransmitter level. The stress has increased substantially at work and social front and it requires cumulative efforts to deal with it. The Indian values like prayer, yoga, healthy food habits, and social engagement are the best alternative to deal with depression even including expert counselling. The suicidal rate has increased substantially all across the ages including teenagers because of over expectation and performance laid distress. We need to deal with depression multidimensional without undermining the lack of acute symptoms.

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